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The Saudi Critical Care Society extracorporeal life support chapter guidance on utilization of veno-venous extracorporeal membrane oxygenation in adults with acute respiratory distress syndrome and special considerations in the era of coronavirus disease 2019

Hani N. Mufti, Ahmed A. Rabie, Alyaa M. Elhazmi, Husam A. Bahaudden, Mostafa A. Rajab, Ismael S. Al Enezi, Ayed Y. Assiri, Khalid A. Maghrabi, Ali A. Al Bshabshe, Abdullah M. Abudayah, Adel A. Tash, Awad A. Al-Omari and Mohamed H. Azzam
Saudi Medical Journal June 2021, 42 (6) 589-611; DOI: https://doi.org/10.15537/smj.2021.42.6.20200520

References

  1. 1.
    1. Oken MM,
    2. Creech RH,
    3. Tormey DC,
    4. Horton J,
    5. Davis TE,
    6. McFadden ET, et al.
    Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 1982; 5: 649–655.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Combes A,
    2. Hajage D,
    3. Capellier G,
    4. Demoule A,
    5. Lavoué S,
    6. Guervilly C, et al.
    Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. N Engl J Med 2018; 378: 1965–1975.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Peek GJ,
    2. Clemens F,
    3. Elbourne D,
    4. Firmin R,
    5. Hardy P,
    6. Hibbert C, et al.
    CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Serv Res 2006; 6: 163.
    OpenUrlCrossRefPubMed
  4. 4.↵
    Extracorporeal Life Support Organization. ELSO Guidelines For Adult Respiratory Failure V 1.4: ELSO; 2017. [Updated 2017. 2021 January 12]. Available from: https://www.elso.org/Portals/0/ELSO%20Guidelines%20For%20Adult%20Respiratory%20Failure%201_4.pdf
  5. 5.↵
    1. White DB,
    2. Angus DC.
    Preparing for the sickest patients with 2009 influenza A (H1N1). JAMA 2009; 302: 1905–1906.
    OpenUrlCrossRefPubMed
  6. 6.
    1. Australia T
    , Investigators* NZEMOI. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA 2009; 302: 1888–1895.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.
    1. Pham T,
    2. Combes A,
    3. Roze H,
    4. Chevret S,
    5. Mercat A,
    6. Roch A, et al.
    Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome: a cohort study and propensity-matched analysis. Am J Respir Crit Care Med 2013; 187: 276–285.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Alshahrani MS,
    2. Sindi A,
    3. Alshamsi F,
    4. Al-Omari A,
    5. El Tahan M,
    6. Alahmadi B, et al.
    Extracorporeal membrane oxygenation for severe Middle East respiratory syndrome coronavirus. Ann Intensive Care 2018; 8: 3.
    OpenUrlCrossRefPubMed
  9. 9.
    Extracorporeal Life Support Organization. ECMO in COVID-19. [Updated 2020. 2021 January 28]. Available from: https://www.elso.org/Registry/FullCOVID19RegistryDashboard.aspx
  10. 10.↵
    Extracorporeal Life Support Organization. ELSO (Extracorporeal Life Support Organization) Overview 2020. [Updated 2021. 2021 January 28] Available from: https://www.elso.org/AboutUs/Overview.aspx
  11. 11.↵
    1. Conrad SA,
    2. Broman LM,
    3. Taccone FS,
    4. Lorusso R,
    5. Malfertheiner MV,
    6. Pappalardo F, et al.
    The Extracorporeal Life Support Organization Maastricht Treaty for nomenclature in extracorporeal life support. A position paper of the Extracorporeal Life Support Organization. Am J Respir Crit Care Med 2018; 198: 447–451.
    OpenUrl
  12. 12.↵
    Extracorporeal Life Support Organization. ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure. [Updated 2020. 2021 January 28]. [Available from: https://www.elso.org/Portals/0/Files/pdf/ECMO%20for%20COVID%2019%20Guidance%20Document.Final%2003.24.2020.pdf
  13. 13.↵
    1. Ali J,
    2. Vuylsteke A.
    Extracorporeal membrane oxygenation: indications, technique and contemporary outcomes. Heart 2019; 105: 1437–1443.
    OpenUrlFREE Full Text
  14. 14.↵
    1. ARDS Definition Task Force,
    2. Ranieri VM,
    3. Rubenfeld GD,
    4. Thompson TB,
    5. Ferguson ND,
    6. Caldwell E, et al.
    Acute respiratory distress syndrome: The Berlin definition. JAMA 2012; 307: 2526–2533.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Raghavendran K,
    2. Napolitano LM.
    Definition of ALI/ARDS. Crit Care Clin 2011; 27: 429–437.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Schmidt M,
    2. Bailey M,
    3. Sheldrake J,
    4. Hodgson C,
    5. Aubron C,
    6. Rycus PT, et al.
    Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score. Am J Respir Crit Care Med 2014; 189: 1374–1382.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Danial P,
    2. Hajage D,
    3. Nguyen LS,
    4. Mastroianni C,
    5. Demondion P,
    6. Schmidt M, et al.
    Percutaneous versus surgical femoro-femoral veno-arterial ECMO: a propensity score matched study. Intensive Care Med 2018; 44: 2153–2161.
    OpenUrl
  18. 18.↵
    1. Ganslmeier P,
    2. Philipp A,
    3. Rupprecht L,
    4. Diez C,
    5. Arlt M,
    6. Mueller T, et al.
    Percutaneous cannulation for extracorporeal life support. Thorac Cardiovasc Surg 2011; 59: 103–107.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Jayaraman AL,
    2. Cormican D,
    3. Shah P,
    4. Ramakrishna H.
    Cannulation strategies in adult veno-arterial and veno-venous extracorporeal membrane oxygenation: Techniques, limitations, and special considerations. Ann Card Anaest 2017; 20: S11–S8.
    OpenUrl
  20. 20.↵
    1. Sorokin V,
    2. MacLaren G,
    3. Vidanapathirana PC,
    4. Delnoij T,
    5. Lorusso R.
    Choosing the appropriate configuration and cannulation strategies for extracorporeal membrane oxygenation: the potential dynamic process of organ support and importance of hybrid modes. Eur J Heart Fail 2017; 19: 75–83.
    OpenUrl
  21. 21.↵
    1. Schmidt M,
    2. Tachon G,
    3. Devilliers C,
    4. Muller G,
    5. Hekimian G,
    6. Brechot N, et al.
    Blood oxygenation and decarboxylation determinants during venovenous ECMO for respiratory failure in adults. Intensive Care Med 2013; 39: 838–846.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Pavlushkov E,
    2. Berman M,
    3. Valchanov K.
    Cannulation techniques for extracorporeal life support. Ann Transl Med 2017; 5: 70.
    OpenUrl
  23. 23.↵
    1. Napp LC,
    2. Kuhn C,
    3. Hoeper MM,
    4. Vogel-Claussen J,
    5. Haverich A,
    6. Schafer A, et al.
    Cannulation strategies for percutaneous extracorporeal membrane oxygenation in adults. Clin Res Cardiol 2016; 105: 283–296.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Chlebowski MM,
    2. Baltagi S,
    3. Carlson M,
    4. Levy JH,
    5. Spinella PC.
    Clinical controversies in anticoagulation monitoring and antithrombin supplementation for ECMO. Crit Care 2020; 24: 19.
    OpenUrl
  25. 25.↵
    1. Barbaro RP,
    2. Paden ML,
    3. Guner YS,
    4. Raman L,
    5. Ryerson LM,
    6. Alexander P, et al.
    Pediatric extracorporeal life support organization registry international report 2016. ASAIO J 2017; 63: 456–463.
    OpenUrlCrossRef
  26. 26.↵
    1. Aubron C,
    2. McQuilten Z,
    3. Bailey M,
    4. Board J,
    5. Buhr H,
    6. Cartwright B, et al.
    Low-dose versus therapeutic anticoagulation in patients on extracorporeal membrane oxygenation: a pilot randomized trial. Crit Care Med 2019; 47: e563–e571.
    OpenUrl
  27. 27.↵
    1. Patel B,
    2. Arcaro M,
    3. Chatterjee S.
    Bedside troubleshooting during venovenous extracorporeal membrane oxygenation (ECMO). J Thorac Dis 2019; 11: S1698–s1707.
    OpenUrlPubMed
  28. 28.↵
    1. Sidebotham D.
    Troubleshooting adult ECMO. J Extra Corpor Technol 2011; 43: P27–32.
    OpenUrlPubMed
  29. 29.↵
    1. Pappalardo F,
    2. Pieri M,
    3. Corada AB,
    4. Ajello S,
    5. Melisurgo G,
    6. De Bonis M, et al.
    Timing and Strategy for weaning from venoarterial ECMO are complex issues. J Cardiothorac Vasc Anesth 2015; 29: 906–911.
    OpenUrl
  30. 30.↵
    1. Aissaoui N,
    2. El-Banayosy A,
    3. Combes A.
    How to wean a patient from veno-arterial extracorporeal membrane oxygenation. Intensive Care Med 2015; 41: 902–905.
    OpenUrl
  31. 31.↵
    1. Grant AA,
    2. Hart VJ,
    3. Lineen EB,
    4. Badiye A,
    5. Byers PM,
    6. Patel A, et al.
    A Weaning protocol for venovenous extracorporeal membrane oxygenation with a review of the literature. Artif Organs. 2018; 42: 605–610.
    OpenUrl
  32. 32.↵
    1. Brogan TV.
    Manual of extracorporeal membrane oxygenation (CMO) in the ICU. Crit Care Med 2014; 42: e548.
    OpenUrl
  33. 33.↵
    Elsevier. Novel Coronavirus Information Center. [Updated 2021 April 2. 2021 January 11]. Available from: https://www.elsevier.com/connect/coronavirus-information-center
  34. 34.↵
    World Health Organization. WHO Timeline - COVID-19 [Updated 2020. 2021 January 28]. Available from: https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19
  35. 35.↵
    Ministry of Health. MOH Reports First Case of Coronavirus Infection. [Updated 2020. 2021 January 28]. Available from: https://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/News-2020-03-02-002.aspx
  36. 36.↵
    1. Alhazzani W,
    2. Al-Suwaidan F,
    3. Al Aseri Z,
    4. Al Mutair A,
    5. Alghamdi G,
    6. Rabaan A, et al.
    The Saudi critical care society clinical practice guidelines on the management of COVID-19 patients in the intensive care unit. Saudi Crit Care J 2020; 4: 27–44.
    OpenUrl
  37. 37.↵
    1. Ramanathan K,
    2. Antognini D,
    3. Combes A,
    4. Paden M,
    5. Zakhary B,
    6. Ogino M, et al.
    Planning and provision of ECMO services for severe ARDS during the COVID-19 pandemic and other outbreaks of emerging infectious diseases. Lancet Respir Med 2020; 8: 518–526.
    OpenUrl
  38. 38.↵
    1. Shekar K,
    2. Badulak J,
    3. Peek G,
    4. Boeken U,
    5. Dalton HJ,
    6. Arora L, et al.
    Extracorporeal Life Support Organization Coronavirus disease 2019 interim guidelines: a consensus document from an international group of interdisciplinary extracorporeal membrane oxygenation providers. ASAIO J 2020; 66: 707–721.
    OpenUrlPubMed
  39. 39.↵
    1. Barbaro RP,
    2. MacLaren G,
    3. Boonstra PS,
    4. Iwashyna TJ,
    5. Slutsky AS,
    6. Fan E, et al.
    Extracorporeal membrane oxygenation support in COVID-19: an international cohort study of the Extracorporeal Life Support Organization registry. Lancet 2020; 396: 1071–1078.
    OpenUrlCrossRefPubMed
  40. 40.↵
    1. Schmidt M,
    2. Hajage D,
    3. Lebreton G,
    4. Monsel A,
    5. Voiriot G,
    6. Levy D, et al.
    Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome associated with COVID-19: a retrospective cohort study. Lancet Respir Med 2020; 8: 1121–1131.
    OpenUrl
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